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Clearwater periodontist Dr. Todd Britten at Britten Periodontics dental office

Exploring Advanced Techniques in Periodontal Surgery

Advanced Techniques in Periodontal Surgery: Innovations for Improved Oral Health

In the ever-evolving landscape of dental care, advancements in periodontal surgery have transformed the way we approach the treatment of gum disease and related issues. From innovative technologies to refined surgical techniques, these advancements offer new hope for patients seeking improved oral health and wellbeing.

Laser Therapy: Precision and Efficiency

One of the most significant advancements in periodontal surgery is the widespread adoption of laser therapy. Laser-assisted procedures offer several advantages:

  • Precision: Lasers target diseased tissue with unparalleled accuracy, minimizing damage to surrounding healthy tissue.
  • Minimal Discomfort: Laser therapy is generally associated with less pain and discomfort compared to osseous surgery, reducing the need for anesthesia and post-operative medication.
  • Faster healing: The precise nature of laser therapy promotes faster healing times, allowing patients to resume their normal activities sooner.

Guided Tissue Regeneration: Restoring Function and Aesthetics

Guided tissue regeneration (GTR) is another advanced technique revolutionizing periodontal surgery. This procedure involves the use of barrier membranes to promote the regeneration of lost gum and bone tissues, ultimately restoring both function and aesthetics. Key benefits of GTR include:

  • Tissue Regeneration: GTR encourages the growth of new bone and gum tissue, reversing the damage caused by periodontal disease.
  • Preservation of Tooth Structure: By promoting tissue regeneration, GTR helps preserve the natural structure of the teeth and surrounding tissues.
  • Long-Term Results: With proper post-operative care, the results of guided tissue regeneration can be long-lasting, providing lasting benefits for patients.

Advancements in Dental Implant Surgery: Innovations for a Brighter Smile

Dental implant surgery has undergone remarkable advancements in recent years, revolutionizing the way we restore missing teeth and rejuvenate smiles. From improved materials to cutting-edge techniques, these innovations have advanced the safety, effectiveness, and aesthetics of dental implant procedures, offering new hope to patients seeking durable and natural-looking teeth replacements. Some of these advances include:

  • Enhanced Imaging: CBCT scans provide 3D images of the jawbone and surrounding structures, allowing for precise treatment planning and placement of dental implants.
  • Digital Impressions: Digital models allow for the creation of virtual models, helping for the design of custom-made implant restorations that blend seamlessly with natural teeth.
  • Improved surgical techniques which provide reduced trauma, faster recovery, and preservation of bone structure.
  • Advanced Materials: Significant improvements have been made resulting in implants that are stronger, more biocompatible , and more aesthetically pleasing.

Advanced techniques in periodontal surgery have transformed periodontal treatment with highly predictable, minimally invasive, and aesthetic treatment options for patients. As technology continues to evolve, the future holds even greater promise for periodontal and implant dentistry, paving the way for continued improvements in patient care and satisfaction.

Implant Dentistry treatment by Clearwater, FL periodontist at Britten Periodontics

How 3-D Technology is Revolutionizing Implant Dentistry for Patients

How 3-D Technology is Revolutionizing Implant Dentistry for Patients

Here at Britten Periodontics, as a periodontist and dental implant specialist, Dr. Todd Britten wants to ensure his dental implant patients have the best care possible using the latest technology available. By using advanced 3-D technology, Dr. Britten explains that he is able to obtain and review high-quality images for dental implant planning and even create a 3-D printed surgical guide.

When a patient is ready for a dental implant, Dr. Britten explains the first step is often to take a 3-D CT scan. Dr. Britten said he invested in a scanner that is both comfortable for patients, but provides high quality images at the lowest radiation levels possible. “The PAX-i3D Green is a digital imaging system that provides multiple views of a patient’s jaw and mouth. A 3-D digital scan can now be taken at the same visit in place of a tradition dental impression.” We have a Medit i-700 scanner, making the scanning experience for our patients comfortable and easy. This digital impression can be done at the same visit as the CT scan.

Oral hygiene instructions by Dr. Todd Britten, Clearwater periodontist
Soft tissue condition treatment by Clearwater, FL periodontist at Britten Periodontics

Laser Periodontal Surgery: Before and After

Laser Periodontal Surgery: Before and After

Dr. Todd Britten offers his patients at Britten Periodontics & Implant Dentistry in Clearwater, Florida, the PerioLase and LANAP® protocol for treatment of periodontal disease. LANAP, or the Laser Assisted New Attachment Procedure, is an alternative to traditional periodontal surgery for the treatment of gum disease. Dr. Britten also offers LAPIP®, the Laser Assisted Peri-Implantitis Procedure, to treat infected and/or save failing dental implants.

Dr. Todd Britten cites that the benefits of laser periodontal dentistry include:

  • Precision

The precise dental laser used in our practice can accurately target and remove harmful bacteria without causing damage to healthy gum tissue.

  • Fast Recovery

Laser surgery involves no incisions and little to no post-operative inflammation. Therefore, patients experience a much faster healing period and often do not need pain medication.

  • Minimal Gum Recession

In traditional gum surgery, gum recession is commonly unavoidable. Laser gum surgery never harms healthy gum tissue, which means there is little to no gum recession.

  • Stronger Support

Laser gum surgery is scientifically proven to generate new bone growth in the jaw, leading to added support for existing teeth.

Using the PerioLase MVP-7 dental laser in both the LANAP and LAPIP protocols, we can effectively target and kills harmful bacteria that causes inflammation around natural teeth or dental implants. Killing the bacteria helps to treat the cause of the disease, not just the symptoms.

Healthy teeth versus soda-related enamel damage illustrated at Britten Periodontics with Dr. Todd Britten in Clearwater, FL

Soda Destruction in Kids & Teens

Soda Destruction in Kids & Teens

From ADA:  “It’s not just soda that’s contributing to an increase in tooth decay. Nationwide, students are drinking more sports drinks and fruit juices, which also contain high concentrations of sugar. The problem is with the frequency that a child’s teeth are exposed to sugar throughout the day. Nursing soft drinks significantly contributes to the development of tooth decay.

For example, if a student takes one small sip of soda, and then a minute later, takes another small sip, and then another sip—and this goes on during the course of one day—teeth are exposed over and over again to high concentrations of sugar and acid without any kind of break.

Even sugar-free soda is harmful to teeth because it contains high amounts of acid, leading to a breakdown in dental enamel. Because students typically do not brush their teeth during school hours, their risk of getting cavities increases dramatically.”

Benefits of Drinking Water:

“There are many benefits to drinking water:

  • Reduces muscle cramping and fatigue when consumed before, during, and after exercise.
  • Regulates body temperature. To sweat, you need plenty of water.
  • Helps you get well when you’re sick by controlling fever and replacing lost fluid.
  • Keeps you hydrated, alert, and energized. Even minor dehydration can cause a loss of concentration, fatigue, and irritability.
  • Prevents you from confusing hunger with thirst, which can help you control your weight.”

In the above picutre, we have both photos and x-ray images of a healthy mouth vs. a mouth that has had major decay caused by a soda drinking habit. Soda: It’s not hip to sip!

Britten Periodontics team sponsoring Clearwater community health event (Back to school)

Back to School Supply Drive and Contest

Back to School Drive & Contest

Back to School Drive
WHAT: In partnership with A Kid’s Place Tampa Bay, we are collecting back-to-school items
WHEN: Collection Dates June 12th-July 19th.
WHERE: Drop off items at
Britten Periodontics & Implant Dentistry
1472 Jordan Hills Court
Clearwater, Florida 33756
Some suggestions & most-needed items are:
· Teenage backpacks & lunch boxes
· Gel pens
· Mechanical pencils
· Post-it Notes
· Flash Drives
Your supply donation will allow you to enter your guess for our BACK TO SCHOOL CONTEST!
Back to School Contest
Guess The Weight of Each Backpack in our reception area and enter to win a summer-themed gift basket!
Contest Rules:
· Must bring in school supplies to enter contest.
· 1 Guess per patient (with donation) per backpack
· Closest guess without going over wins
· If there is a tie, names will be placed in a hat and drawn
· Guesses end the last day of the school drive
Best,
Dr. Todd Britten & Staff
ConeBeam CT 3D technology High Tech Dental implant procedures by Britten Periodontics with Dr. Todd Britten in Clearwater, FL

Implant Planning: What to Know About CBCT Scans

Implant Planning: What to Know About CBCT Scans

At Britten Periodontics & Implant Dentistry, we use 3D low radiation Cone Beam CT Scans for diagnosis and treatment planning. While it only take less than a minute, the scan supports a much higher level of patient care compare to conventional 2D X-ray films. 3D low radiation Cone Beam CT Scans allow a detailed look at existing teeth, bone, nerves, and tissue.

The 3D Cone Beam CT Scan provides three-dimensional and cross-sectional views that allow Dr. Britten to:

  • Examine the quality and density of the bone that will anchor the dental implant
  • Determine the proper treatment approach for each individual patient
  • Determine the precise placement of implants
  • Select the correct type and size of the implants
  • Avoid the nerves and sinuses.

Dr. Britten uses the best materials for implants, employing state-of-the art technology and procedures. His commitment to quality implant care has gained the confidence and earned the trust of many of patients just like you.

Peri-implantitis treatment at Britten Periodontics in Clearwater, Florida featuring advanced periodontal

What is Peri-Implantitis?

What is Peri-Implantitis?

Peri-implantitis is an infection that hurts gums, bones and other tissues surrounding dental implants. It is very similar to gum disease. Severity can range from minor inflammation of the gums to severe degradation of the teeth and jaw. If left untreated, this often leads to patients losing their dental implants and developing other serious dental problems.

Peri-implantitis is caused by the bacteria and food particles that gradually accumulate around dental implants and gum lines. For this reason, peri-implantitis tends to grow unnoticed in its early stages. However, later symptoms can become severe. Ranging from minor to dangerous, symptoms include:

  • Redness and inflammation of the surrounding gum tissue.
  • Deepening of the gum pockets around the implant.
  • Exposure or visibility of the implant threads.
  • Loosening of the implant.
  • Pus discharging from the tissues around the implant.
  • Loss of supporting bone.
  • Bleeding upon being probed.
  • Swollen lymph nodes around the neck.

Peri-implantitis if left untreated can progress to severe stage and eventually lead to implant loss.  If caught early, and with adequate supervision from a competent dentist, peri-implantitis can be treated before it ever causes undue discomfort or embarrassment.

What is the cause of peri-implantitis?


There are three primary factors that influence your susceptibility to peri-implantitis:

  • Prior disease: patients affected by a disease that affects the whole body (known as systemic disease) can be extra susceptible to peri-implantitis. If you have diabetes or another systemic disease, consult with your dentist about your dental implants. Patients with periodontal disease can be at a higher risk to developing another mouth infection, like peri-implantitis.
  • Oral hygiene: If not cared for, plaque and tartar that are full of harmful bacteria and pathogens can easily build up around teeth and gums. These degrade tissue and cause irritation and infection. Other social factors can cause peri-implantitis, like smoking and drug abuse. What you put in your mouth affects your mouth; we advise extreme caution regarding what you place in your body.
  • Parafunctional habits: an easier term for this is “involuntary habit.” In this case, peri-implantitis is isolated to habits like involuntarily grinding your teeth in your sleep (bruxism), poorly positioning your teeth – either due to misalignment or poor muscle control – when the jaw is fully closed (malocclusion), nail biting and thumb sucking.

How can I avoid peri-implantitis?

Ways to avoid peri-implantitis:

  • Good oral hygiene:
  • Brush your teeth frequently (at least 2 x a day for 2 minutes with a powerbrush – Sonicare is preferred)
  • Use dental floss or other aides recommended by your dentist or dental hygienist, such as Proxysoft Bridge and Implant Floss or TEPE compact tuft brush.
  • If you suffer from any oral parafunctional habits (unconscious or involuntary habits with your mouth), like teeth grinding, poor jaw alignment or nail biting, seek help. Your dentist can provide several suggestions or treatments for these habits before they adversely affect your health.
  • Make sure you have a dental specialist perform dental implant surgery or to treat your peri-implantitis.  Periodontists are also implant specialists, with solid experience and advanced training in proper techniques.  Poor dental work can make your personal oral hygiene difficult and painful, and can expose you to pathogens later.If you are considering dental implants or if you feel you may have peri-implantitis, give us a call! You will receive excellent care. We want you to have a healthy mouth, and we know how to help you get it!

How is peri-implantitis treated?

Sometimes, surgical therapy is necessary to repair the damage from peri-implantitis.  Dr. Britten offers the latest technology in dental implant surgery, using both a “flap” type of procedure, or the use of  Laser Assisted Peri-Implantitis Protocol, or LAPIP. The LAPIP protocol uses a laser to target the bacteria that cause peri-implantitis without disrupting the stability of the implant itself. Using a laser, we can remove necrotic tissue, infection, anaerobes and other undesirables from the implant surface and surrounding periodontal structures.

Acid erosion treatment at Britten Periodontics in Clearwater, Florida

Healthy Teeth Vs. Acid Erosion & Wear

Healthy Teeth Vs. Acid Erosion & Wear

From Colgate.com:

“Tooth erosion is a common dental concern. The American Dental Association (ADA) reports that more than one third of children and adults worldwide may exhibit dental erosion. Tooth wear can take a number of forms, all of which may cause sensitivity and discomfort. Knowing how to prevent tooth erosion can help your teeth stay strong and healthy!

Why Is Your Tooth Wearing Away?

Dental erosion is the irreversible loss of tooth enamel caused by acids in the mouth. It occurs in populations across the globe and affects people of all ages. Dietary habits, conditions such as bulimia and poor oral care can all lead to tooth erosion.

Erosion caused by diet often appears as a hollowed-out area on the chewing surface of the tooth. Drinking sodas, alcohol or energy drinks increases the likelihood of eroding your teeth, especially if you swish the liquids prior to swallowing. This causes the acid to wash across the surface of the teeth and wear away the enamel. While consuming these drinks does not always lead to erosion, it affects the pH of the mouth and contributes to an acidic environment.

Having these drinks with a meal may help balance the amount of acid in the mouth. It is also possible to reduce the acidity level by consuming the drink in a short period of time, as opposed to sipping it. This allows the oral cavity to restore a normal pH balance.

Those who are regularly exposed to environments with higher levels of acid, such as factory workers or swimmers, may have increased dental erosion, reports the ADA. Patients who have bulimia, reflux or digestive disorders may notice erosion on the tongue and interior palate side of the tooth, as opposed to the side of the tooth that sits against the cheeks and lips.

3 Types of Tooth Wear

Dental erosion occurs when acid comes in contact with the teeth. Three other kinds of tooth wear include attrition, abfraction and abrasion.

  1. Attrition involves tooth-to-tooth contact, most often teeth grinding or improper biting. This type of tooth wear breaks down and flattens the chewing surfaces of the teeth.
  2. Abfraction occurs when regular grinding or a misaligned bite create an abnormal load on the tooth. This results in a notch on the side of the tooth near the gumline. A dentist or dental hygienist will often recommend a night guard for patients exhibiting abfraction. Orthodontic treatment can help align the teeth to ensure they come together properly.
  3. Abrasion can appear similar to abfraction, but it is caused by an external mechanical force, such as a toothbrush. If a patient is brushing too hard against the surface of the tooth or using a toothbrush with hard bristles, the constant wear can cause a notch-like surface at the gumline. Your dental hygienist can give you instructions on proper brushing techniques to avoid continued wear on the tooth surface.

Treatment for Tooth Wear

Those with abfraction or abrasion can have a filling placed on the side of the tooth over the damaged surface to help protect against continued wear, although it may not be medically necessary. Alternatively, a patient may choose to have fluoride applied at their six-month preventive care appointments or use a toothpaste that contains fluoride to help with sensitivity. Your dentist or dental hygienist may also continue monitoring the site of the tooth wear to ensure it doesn’t worsen.

Your enamel won’t grow back, but not all is lost! You can take measures to prevent further erosion and preserve your smile. Knowing how to take care of your teeth and practicing good habits recommended by your dental professionals can help your smile last a lifetime!”

Normal Teeth vs Wear from grinding
Normal teeth vs acid attack
Normal teeth vs soda destruction
Clearwater periodontist Dr. Todd Britten at Britten Periodontics dental office

How 3-D Technology is Revolutionizing Implant Dentistry

Clearwater Periodontist and Dental implant specialist Dr. Todd Britten says he wants to ensure his dental implant patients have the best care possible using the latest technology available. By using advanced 3-D technology, Dr. Britten explains that he is able to obtain and review high-quality images for dental implant planning and even create a 3-D printed surgical guide.

When a patient is ready for a dental implant, Dr. Britten explains the first step is often to take a 3-D CT scan. Dr. Britten said he invested in a scanner that is both comfortable for patients, but provides high quality images at the lowest radiation levels possible. “The PAX-i3D Green is a digital imaging system that provides multiple views of a patient’s jaw and mouth. A 3-D digital scan can now be taken at the same visit in place of a tradition dental impression.” Dr. Britten explains he has a Medit i-700 scanner, making the scanning experience for our patients comfortable and easy. This digital impression can be done at the same visit as the CT scan.

He goes onto explain the patient’s CT scan and Digital Impression are then uploaded to the Dental Laboratory’s sophisticated software program. Dr. Britten plans the implant surgery (deciding on any need for bone grafting, sinus grafting and appropriate implant size and type) as well as a surgical guide to be fabricated by his experienced laboratory clinician.

The Dental Lab then can fabricate the surgical guide with their state-of-the-art 3-D printer. The process usually takes a few weeks, and then the patient is ready for dental implant surgery. Dr. Britten says with 3-D technology and imaging, he can perform dental implant surgeries with confidence, using a precision-crafted 3-D printed Implant Surgical Guide.

      

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